Fill and Sign the Louisiana Petition Form

____________________ : ______ JUDICIAL DISTRICT COURT VS : PARISH OF ______ , LOUISIANA ____________________ : DOCKET NO.: ______ ________________________________________________________________ PETITION FOR MONIES DUE The petition of ____________________ , a Louisiana corporation domiciled in the Parish of ______ , State of Louisiana, respectfully represents: l. Made Defendant herein is ____________________ , domiciled in the Parish of ______ , Louisiana. II. Defendant is justly and truly indebted unto your petitioner in the true and full sum of ____________________ AND ___ /100 ($ ______ ) DOLLARS, together with legal interest from date of judicial demand until paid, and all costs of these proceedings, for the following: III. Petitioner paid several overdrawn checks for defendant, resulting in an overdrawn account balance of ____________________ and ___ /l00 ($ ______ ) Dollars, of which your defendant is justly and truly indebted to your petitioner. IV. Defendant has failed and refused to pay the monies owed, despite amicable demand being made upon Defendant by Certified Mail, Return Receipt Letter dated ______ ___ , 20 ___ , a copy of which is attached hereto and made a part hereof and marked as plaintiff's "Exhibit l". Plaintiff, therefore, is entitled to reasonable attorney's fees. WHEREFORE, premises considered, petitioner, ____________________ , prays that after due proceedings had, there be Judgment in favor of Plaintiff and against Defendant, ____________________ , in the full sum of ____________________ AND ___ /100 ($ ______ ) DOLLARS, together with legal interest from date of judicial demand until paid, reasonable attorney's fees, and all costs of these proceedings. ______________________________ ____________________ Attorney for Peteitioner ____________________ ______ , LA ______ ( ___ ) ______ La. Bar Roll No. ______ Please serve: ____________________ ____________________ ______ , LA ______ * * * STATE OF LOUISIANA PARISH OF ______ BEFORE ME, the undersigned Notary Public, personally came and appeared ____________________ , who, being by me first duly sworn, did depose and say: l. He is a loan officer at ____________________ and is qualified to make this Affidavit; and 2. He is familiar with the matter involving the overdrawn account No. ______ of ____________________ in the amount of $ ______ . __________________________ ____________________ ____________________ SWORN TO AND SUBSCRIBED before me this ______ day of ______ , 20 ___ . ______________________ NOTARY PUBLIC